DOMINIC MATTHIAS DOUGHERTY

LONG BEACH, CA
NPI1568827111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
-- DOMINIC MATTHIAS DOUGHERTY
1955 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-591-1340
Mailing Address
-- DOMINIC MATTHIAS DOUGHERTY
1955 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-591-1340